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CTRI Number  CTRI/2018/11/016359 [Registered on: 15/11/2018] Trial Registered Retrospectively
Last Modified On: 12/11/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Comparison of the effectiveness of olanzapine, metoclopramide and domperidone for controlling chemotherapy related nausea and vomiting 
Scientific Title of Study   Comparison of the efficacy of olanzapine, metoclopramide and domperidone for the symptom abolishment of chemotherapy induced breakthrough nausea and vomiting, randomized open label clinical study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Bhanu Prakash Bandlamudi 
Designation  Senior resident DM 
Affiliation  Jawaharlal institute of medical education and research  
Address  Medical oncology, regional cancer centre,jipmer, pondicherry

Pondicherry
PONDICHERRY
605006
India 
Phone  7760356346  
Fax    
Email  bhanu691@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Smita Kayal 
Designation  Associate Professor  
Affiliation  Jawaharlal institute of medical education and research  
Address  Medical oncology, regional cancer centre,jipmer, pondicherry

Pondicherry
PONDICHERRY
605006
India 
Phone  7598118439  
Fax    
Email  kayalsmita@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhanu Prakash Bandlamudi 
Designation  Senior resident DM 
Affiliation  Jawaharlal institute of medical education and research  
Address  Medical oncology, regional cancer centre,jipmer, pondicherry

Pondicherry
PONDICHERRY
605006
India 
Phone  7760356346  
Fax    
Email  bhanu691@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Institute Of Postgraduate Medical Education and Research,Intramural research committee 
 
Primary Sponsor  
Name  Jawaharlal Institute Of Postgraduate Medical Education and Research 
Address  JIPMER, Dhanvantri Nagar, Gorimedu, Puducherry-605 006 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Bhanu Prakash Bandlamudi  Jawaharlal institute of post graduate medical education and research  Room no 13,medical oncology department, regional cancer centre
Pondicherry
PONDICHERRY 
7760356346

bhanu691@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee(human studies), JIPMER   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Tablet domperidone  10 mg per oral three times a day for 3 days,for use in chemotherapy induced nausea and vomiting 
Intervention  Tablet Metoclopramide   10 mg per oral three times a day for 3 days, For use in chemotherapy induced nausea and vomiting 
Comparator Agent  Tablet olanzapine   10 mg per oral once a day for 3 days, approved for chemotherapy induced nausea and vomting 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1.Histologically or cytologically confirmed malignant disease
2.Chemotherapy naïve patients
3.Scheduled to receive intravenous either single or multiday highly emetogenetic chemotherapy regimens or moderately emetogenic chemotherapy regimens  
 
ExclusionCriteria 
Details  1.Patients with nausea in 24 h prior to beginning of chemotherapy
2.serum creatinine of >2.0 mg/dl, serum bilirubin of >2.0 mg/dl, SGOT or SGPT values of >3 times the upper limits of normal
3.Pregnant patients
4.Patients on chemotherapy for leukemia.
5.Esophageal and stomach malignancies are excluded from the study.
6.Patients on continuous, intermittent or concomitant oral chemotherapy
7.Patients on continuous, intermittent or concomitant oral chemotherapy or on opioid (morphine) treatment for pain control.
8.Patients with known hypersensitivity to olanzapine, metoclopramide or domperidone,
9.Patients with cardiac arrhythmia, history of congestive heart failure, or acute myocardial infarction within the previous 6 months.
10.Patients with known history of CNS disease (e.g., brain metastases, seizure disorder), or treatment with any antipsychotic agents such as risperidone, quetiapine, clozapine, phenothiazine or butyrophenone for 30 days prior to or during protocol therapy.
11.Patients with concurrent abdominal radiotherapy
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess and compare the efficacy of metoclopramide, olanzapine, domperidone in symptom abolishment of chemotherapy induced breakthrough nausea and vomiting  over 1 year of DM course 
 
Secondary Outcome  
Outcome  TimePoints 
To assess and compare the side effect profile of metoclopramide, olanzapine, domperidone in the treatment of breakthrough vomiting  over 1 year of DM course 
To assess and compare QOL before and after onset of breakthrough CINV and use of study medications  over 1 year of DM course 
To assess the use of second line rescue for treatment of breakthrough emesis  over 1 year of DM course 
 
Target Sample Size   Total Sample Size="600"
Sample Size from India="600" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   16/04/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None Yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This trial is being conducted to identify the appropriate drug for chemotherapy induced breakthrough nausea and vomiting. Such trials comparing multiple drugs for controlling breakthrough nausea vomiting have not been done in Indian subcontinent. Presently there is no standard drug for break through emesis in both highly and moderately emetogenic chemotherapy induced breakthrough nausea and vomiting.  
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